Today I had my first appointment with a new endocrinologist. I was looking forward to it, and dreading it at the same time. I’ve only been seeing a family doctor for 1.5 years, since moving away from Chicago, and he’s pretty clueless about diabetes, so I really need to find an endo. The only problem with finding an endo, is that I live far away from any major medical facility, so the selection is basically 3 to choose from with my insurance. My cousin works in the ER in one of the local small town hospitals though, and she says everybody in this region goes to this 1 endo. Says he’s great, and everybody loves him. I also met a diabetes educator at the diabetes walk earlier this year that I liked, and she works for that same endo, so that’s who I chose. It’s the educator I want to talk to, but first I have to meet with the doctor before she’s allowed to talk to me. She literally told me, not to worry about what the doctor says about my nutrition, because she’s gonna change it anyway. We both smiled when she said that. Just as in Chicago though, he’s so booked, it took 2 months to get in.
The family doctor is great because he just writes my scripts when I ask him too, and I don’t have to go back every 3 months for renewals. When I moved here, I told him I wanted 1 year renewals for everything, and he did it. When I was stricken with a major illness over the summer, I got an appointment that next day, so I could get antibiotics. You can’t do that in Chicago.
Anyway, I get to the appointment as soon as the office was open. 2 other people in the office. I was told I had the first appointment when I made it 2 months ago. Hmmmm? The first guy didn’t go in until half an hour later, so I’m already not liking what I’m seeing. The nurse weighs me, walks me into room, sits me down. Reviews paperwork, asks me questions, tells me she’s going to take an A1C and lipid profile . . . right now. I tell her that no one told me to “fast”, and she said it won’t matter much, and started reaching for my arm. I jerked my arm away and said I’m not going to have a blood test taken if it’s not going to be accurate. That it’s stupid to do something like that. She left the room as if to tell on me. Came back and said “ok”. Then she took the paperwork and the needle, and didn’t even check my vitals. *sigh* Now I’m getting pissed. (You have the right to disagree with your doctors, and stand your ground. It’s YOUR HEALTH, and YOUR MONEY.)
A few minutes later the doctor walks in. (No wait. I wonder if that’s because of my behavior?) He’s happy and smiling, but difficult to understand. *sigh* Foreign accent. He is however, being very agreeable and friendly, and I begin to like him. He questions me, reviews my pump settings, my blood sugars. I ask him why when I was eating low carb, it caused DKA for the first time in my life. Instead of answering my question, he immediately gets very serious and says no one should ever eat low carb because it causes ketosis. (At least he got that right, instead of saying it causes ketoacidosis.) Then however, he told me that the brain cannot function without carbs. I tried to correct him and said that ketones make the brain function just fine. He just disregarded what I said and repeated himself. *sigh* Then he told me I should be eating 100-120g carbs per meal, 3 times a day, with a 50g snack at night. *SIGH* I told him there’s no way that’s going to happen, and that I “might” get 100 – 120 carbs in a whole day. (Every type 1 diabetic knows this is crazy. That’s 1600 calories, with no fat or protein yet!) He knew I would not budge and then changed his tune. Told me that I could do that, and see how it works. (Can you see the look on my face right now?) So then we chit chatted, and he ordered my A1C, lipid profile, thyroid function, and protein test. Then he arranged an appointment with the educator for 1 week from now.
Doctors. Geez. I actually like him though. He’s very smiley. I’ll just filter what he tells me. Why can’t I find a doctor like Richard Bernstein? I wonder where he lives? Maybe I should move there?
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